This guide explains how each change in a grouping affects the final reimbursement, and offers strategies to successfully deliver quality care and drive growth under PDGM.
|PDGM Numbers that Count Guide|
This worksheet can help you assess your potential enterprise risk as it relates to Key Performance Indicators that will be impacted by PDGM.
|Risk Assessment Worksheet|
This reference tool lists the top 25 most commonly used questionable encounter codes.
|Questionable Encounter Codes|
Click to download a list of primary diagnosis that will not generate a grouping beginning October 1, 2020.
|Ungroupable Primary Diagnoses|
Click to download our guide to functional level scoring under PDGM.
|Functional Level Scoring|
The examples provided in this tool can assist agencies in guiding referral sources to provide additional information to correctly code for PDGM. These examples can also be used as a template for agencies to create diagnoses-specific queries.
|Example Diagnosis Query Tool|
Click to download a list of primary diagnoses that will generate a clinical grouping beginning October 1, 2020.
|Groupable Primary Diagnoses|
Click to download a list of primary diagnoses that are no longer groupable as of October 1, 2020.
|Formerly Groupable Primary Diagnoses|
Click to download a list of primary diagnoses that are groupable as of October 1, 2020.
|New Groupable Primary Diagnoses|
Click to download our complete PDGM Guide for Physicians.
|PDGM Guide for Physicians|